CASEY ANNA FULLER

PUEBLO, CO
NPI1568997757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CO  C-APN-0004366-C-NP)
Additional Taxonomies363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: OK  113250)
163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: AZ  238135)
Enumeration Date2017-04-25
Last Update Date2024-01-23
Business Address
DR. CASEY ANNA FULLER PHMNP-BC
300 COLORADO AVE
PUEBLO, CO 81004-2006
Phone number: 719-543-8711
Mailing Address
DR. CASEY ANNA FULLER PHMNP-BC
110 E ROUTT AVE
PUEBLO, CO 81004-2117
Phone number: 719-543-8711